Mariah Carmen Kanakia, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60712301 Issued in WA

Practice address

900 Pacific Ave Ste 130
Everett, WA 98201-4188

Phone

(425) 258-7352

Fax

(425) 258-7618

NPI assigned

May 3, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mariah Carmen Howard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1154776599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9742 NE 119TH WAY",
            "address_2": "APT D218",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348945",
            "telephone_number": "309-453-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PACIFIC AVE STE 130",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014188",
            "telephone_number": "425-258-7352",
            "fax_number": "425-258-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAKIA",
        "first_name": "MARIAH",
        "middle_name": "CARMEN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60712301",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "SI 60597418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "HOWARD",
            "middle_name": "CARMEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mabinty Tina Kamara
• Rohini A Kamath, M.D.
• Emma Katherine Kamer
• James William Kammerer Jr.
• Gigi Kan, O.D.
• Neelima Kandula, M.B.B.S
• Laura May Spahn Kaneakua X, MHT LLL
• Alex H Kang, D.D.S., M.S.D.
• Yun Min Kang, D.D.S
• Shivani S Kant, D.D.S

• Speech-Language Pathologist in Everett, WA
• Providers in Everett, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.